Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $331.13 / $331.13	Facility	26	$70.79	$331.13	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $977.24	Professional		$158.49	$257.04	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $100.00 / $177.83	Professional	26	$57.54	$100.00	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $177.83 / $407.38	Professional	TC	$100.00	$177.83	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $446.68	Professional		$154.88	$295.12	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $128.82	Professional	26	$51.29	$74.13	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $204.17 / $323.59	Professional	TC	$95.50	$204.17	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $524.81	Professional		$229.09	$309.03	$524.81
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $112.20 / $147.91	Professional	26	$85.11	$112.20	$147.91
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $194.98 / $389.05	Professional	TC	$144.54	$194.98	$389.05
Select Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $398.11	Professional		$151.36	$251.19	$398.11
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $125.89 / $147.91	Professional	26	$57.54	$125.89	$147.91
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $125.89 / $218.78	Professional	TC	$93.33	$125.89	$218.78
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $309.03	Professional		$85.11	$162.18	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $398.11	Professional		$173.78	$245.47	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $54.95 / $109.65	Professional	26	$52.48	$54.95	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $158.49 / $275.42	Professional	TC	$117.49	$158.49	$275.42